Article(id=1324077776436867194, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077716676424398, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202507018, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1751299200000, receivedDateStr=2025-07-01, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793614342078, onlineDateStr=2026-11-02, pubDate=1773072000000, pubDateStr=2026-03-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793614342078, onlineIssueDateStr=2026-11-02, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793614342078, creator=13701087609, updateTime=1793614342078, updator=13701087609, issue=Issue{id=1324077716676424398, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='5', pageStart='769', pageEnd='960', issueExtLink='null', onlineDate='null', pubDate='1773072000000', pubDateStr='2026-03-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793614327830, creator='13701087609', updateTime=1793614418028, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1324078095132655884, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077716676424398, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1324078095132655885, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077716676424398, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=834, endPage=839, ext={EN=ArticleExt(id=1324077776642388091, articleId=1324077776436867194, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Relationship between children’s sleep quality and their behavioral intention to consume sugar-sweetened beverages in Chengdu, columnId=1228016568949474136, journalTitle=Modern Preventive Medicine, columnName=Child and Adolescent Health, Maternal and Child Health, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the relationship of children’s sleep quality and consumption behavioral intention of sugar-sweetened beverages in Chengdu. Based on the theory of planned behavior (TPB), this study explores the parallel mediating effects of behavioral attitude, subjective norm and perceived behavioral control on the relationship between children’s sleep quality and consumption behavioral intention of sugar-sweetened beverages.
Methods The Pittsburgh Sleep Quality Index(PSQI) was used, based on the TPB and relevant literature on the influencing factors about children’s consumption behavior of sugar-sweetened beverages, a survey questionnaire was developed to investigate the behavioral attitude, subjective norm,perceived behavioral control and behavioral intention of children’s consumption of sugar-sweetened beverages. In October 2024, a multi-stage stratified cluster random sampling method was used to select 2021 students from grades 3-5 of four schools in Chengdu as the research subjects. Pearson correlation analysis was used to investigate the relationship between children’s PSQI, behavioral attitude, subjective norm, perceived behavioral control and consumption behavioral intention of sugar-sweetened beverages. Under the control of gender, grade and region, the Bootstrap method was run using SPSS PROCESS component Model 4 to examine the mediating effects of attitude, subjective norm, and perceived behavioral control on the relationship between children’s PSQI and intention to consume sugar-sweetened beverages.
Results There were differences in the scores of children’s consumption behavioral intention of sugar-sweetened beverages among different gender, grade and region. There was a significant positive correlation between children’s consumption behavioral intention of sugar-sweetened beverages and their behavioral attitude, subjective norm, perceived behavioral control, PSQI (r=0.588, r=0.624, r=0.552, r=0.165; P<0.001). Under the control of gender, grade and region, the mediating effect of children’s attitude, subjective norm, and perceived behavioral control towards sugar-sweetened beverages consumption behavior between PSQI and behavioral intention was significant, with an indirect effect of 0.136, accounting for 68.69% of the total effect.
Conclusion Sleep quality affects children’s consumption behavior intention of sugar-sweetened beverages, and attitude, subjective norm and perceived behavioral control of children’s sugar-sweetened beverages consumption behavior have parallel mediating effects between sleep quality and behavioral intention.
, authors=Lin-lin FAN
1, Li-hua JIANG
2, 1, Shu-yi LIU
1, Ying CHEN
1, Shi-wei MEI
1, Xin-yi TAN
3, Ze-wei FAN
1, Zhe-ran ZHOU
1, Li ZHAO
1, authorsList=Lin-lin FAN, Li-hua JIANG, Shu-yi LIU, Ying CHEN, Shi-wei MEI, Xin-yi TAN, Ze-wei FAN, Zhe-ran ZHOU, Li ZHAO, authorCompany=null, correspAuthors=Li-hua JIANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1324077779926528132, articleId=1324077776436867194, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=成都市儿童睡眠质量与含糖饮料消费行为意向的关系研究, columnId=1228016570031604578, journalTitle=现代预防医学, columnName=儿少卫生与妇幼保健, runingTitle=null, highlight=null, articleAbstract=
目的 了解成都市儿童睡眠质量与含糖饮料消费行为意向的关系,基于计划行为理论(theory of planned behavior,TPB)探讨行为态度、主观规范和知觉行为控制在儿童睡眠质量与含糖饮料消费行为意向间的平行中介作用。
方法 采用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index, PSQI),基于TPB和儿童含糖饮料消费影响因素相关文献编制儿童含糖饮料消费行为态度、主观规范、知觉行为控制和行为意向调查问卷。于2024年10月采用多阶段分层整群随机抽样法抽取成都4所学校三~五年级共2 021名学生作为研究对象。采用Pearson相关分析儿童睡眠质量指数、含糖饮料消费行为态度、主观规范、知觉行为控制和行为意向间的关系。在控制性别、年级和地区的情况下,采用SPSS PROCESS组件Model 4运行bootstrap法检验含糖饮料消费行为态度、主观规范与知觉行为控制在儿童睡眠质量指数和含糖饮料消费行为意向间的中介作用。
结果 不同性别、年级和地区下儿童含糖饮料消费行为意向得分存在差异;儿童含糖饮料消费行为意向与行为态度、主观规范、知觉行为控制、睡眠质量指数存在显著的正相关关系(r=0.588、0.624、0.552、0.165,P<0.001)。在控制性别、年级和地区的情况下,儿童含糖饮料消费行为态度、主观规范和知觉行为控制在睡眠质量指数与行为意向间的中介效应显著,间接效应为0.136,占总效应的68.69%。
结论 睡眠质量影响儿童含糖饮料消费行为意向,儿童含糖饮料消费行为态度、主观规范和知觉行为控制在睡眠质量与行为意向间存在平行中介作用。
, authors=范琳林
1, 蒋莉华
2, 1, 刘淑仪
1, 陈颖
1, 梅士伟
1, 谭心仪
3, 范泽炜
1, 周哲然
1, 赵莉
1, authorsList=范琳林, 蒋莉华, 刘淑仪, 陈颖, 梅士伟, 谭心仪, 范泽炜, 周哲然, 赵莉, authorCompany=null, correspAuthors=蒋莉华, authorNote=
范琳林(1998—),女,硕士在读,研究方向:卫生政策与管理
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点,除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=Rg5t43dLbJp++0m6iA3gAA==, magXml=touoH86yJhCpsGOfNP3mTA==, pdfUrl=null, pdf=4xykwByjyF4fbuaOmAtlUg==, pdfFileSize=595454, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=4QzeTNt/d5AKu6RuIDb+Cg==, mapNumber=null, fund=null)}, authors=[Author(id=1324077781008658573, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077776436867194, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1324077781096738959, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077776436867194, authorId=1324077781008658573, language=EN, stringName=Lin-lin FAN, firstName=Lin-lin, middleName=null, lastName=FAN, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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2.四川大学华西临床医学院/四川大学华西医院,四川 成都610041
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Differential analysis of PSQI,behavioral attitude, subjective norm, perceived behavior control and behavioral intention in sugar-sweetened beverages consumption behavior based on different demographic characteristics (
)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 人数 | 睡眠质量指数 | t/F | P值 | 行为态度 | t/F | P值 | 主观规范 | t/F | P值 | 知觉行为控制 | t/F | P值 | 行为意向 | t/F | P值 |
|---|
| 性别 | | | 2.856 | 0.004 | | 4.568 | <0.001 | | 0.431 | 0.666 | | 2.044 | 0.041 | | 4.647 | <0.001 |
| 男 | 1 015 | 3.63±2.88 | | | 12.23±4.68 | | | 11.94±4.67 | | | 7.41±3.64 | | | 7.72±3.86 | | |
| 女 | 1 006 | 3.28±2.58 | | | 11.30±4.45 | | | 11.85±4.61 | | | 7.09±3.43 | | | 6.97±3.37 | | |
| 年级 | | | 0.924 | 0.397 | | 2.747 | 0.064 | | 12.304 | <0.001 | | 8.295 | <0.001 | | 8.393 | <0.001 |
| 三年级 | 858 | 3.53±2.94 | | | 12.04±4.71 | | | 12.44±4.72 | | | 7.61±3.51 | | | 7.49±3.71 | | |
| 四年级 | 702 | 3.34±2.66 | | | 11.59±4.54 | | | 11.30±4.43 | | | 6.89±3.49 | | | 6.92±3.37 | | |
| 五年级 | 461 | 3.48±2.44 | | | 11.51±4.42 | | | 11.78±4.67 | | | 7.13±3.60 | | | 7.73±3.86 | | |
| 地区 | | | -8.979 | <0.001 | | 2.918 | 0.004 | | -0.480 | 0.631 | | 0.967 | 0.334 | | -3.552 | <0.001 |
| 城市 | 1 364 | 3.05±2.46 | | | 11.97±4.58 | | | 11.86±4.65 | | | 7.30±3.58 | | | 7.14±3.56 | | |
| 农村 | 657 | 4.29±3.08 | | | 11.33±4.58 | | | 11.96±4.61 | | | 7.14±3.46 | | | 7.77±3.78 | | |
), ArticleFig(id=1324077790043189444, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077776436867194, language=CN, label=表1, caption=
不同人口统计学特征在睡眠质量指数、含糖饮料消费行为态度、主观规范、知觉行为控制和行为意向上的差异性分析(
)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 人数 | 睡眠质量指数 | t/F | P值 | 行为态度 | t/F | P值 | 主观规范 | t/F | P值 | 知觉行为控制 | t/F | P值 | 行为意向 | t/F | P值 |
|---|
| 性别 | | | 2.856 | 0.004 | | 4.568 | <0.001 | | 0.431 | 0.666 | | 2.044 | 0.041 | | 4.647 | <0.001 |
| 男 | 1 015 | 3.63±2.88 | | | 12.23±4.68 | | | 11.94±4.67 | | | 7.41±3.64 | | | 7.72±3.86 | | |
| 女 | 1 006 | 3.28±2.58 | | | 11.30±4.45 | | | 11.85±4.61 | | | 7.09±3.43 | | | 6.97±3.37 | | |
| 年级 | | | 0.924 | 0.397 | | 2.747 | 0.064 | | 12.304 | <0.001 | | 8.295 | <0.001 | | 8.393 | <0.001 |
| 三年级 | 858 | 3.53±2.94 | | | 12.04±4.71 | | | 12.44±4.72 | | | 7.61±3.51 | | | 7.49±3.71 | | |
| 四年级 | 702 | 3.34±2.66 | | | 11.59±4.54 | | | 11.30±4.43 | | | 6.89±3.49 | | | 6.92±3.37 | | |
| 五年级 | 461 | 3.48±2.44 | | | 11.51±4.42 | | | 11.78±4.67 | | | 7.13±3.60 | | | 7.73±3.86 | | |
| 地区 | | | -8.979 | <0.001 | | 2.918 | 0.004 | | -0.480 | 0.631 | | 0.967 | 0.334 | | -3.552 | <0.001 |
| 城市 | 1 364 | 3.05±2.46 | | | 11.97±4.58 | | | 11.86±4.65 | | | 7.30±3.58 | | | 7.14±3.56 | | |
| 农村 | 657 | 4.29±3.08 | | | 11.33±4.58 | | | 11.96±4.61 | | | 7.14±3.46 | | | 7.77±3.78 | | |
), ArticleFig(id=1324077790164824261, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077776436867194, language=EN, label=Table 2, caption=
Detection of sleep disorders in children and comparison with attitude, subjective norm, perceived behavior control and behavioral intention scores about consumption behavior of sugar-sweetened beverages (
)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 睡眠障碍组(n=185) | 非睡眠障碍组 (n=1 836) | t值 | P值 |
|---|
| 行为态度 | 12.47±4.90 | 11.69±4.55 | 2.199 | 0.028 |
| 主观规范 | 12.75±4.46 | 11.81±4.65 | 2.644 | 0.008 |
| 知觉行为控制 | 7.44±3.57 | 7.23±3.54 | 0.758 | 0.449 |
| 行为意向 | 8.24±4.17 | 7.26±3.58 | 3.106 | 0.002 |
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儿童睡眠障碍检出情况及其与含糖饮料消费行为态度、主观规范、知觉行为控制和行为意向得分比较(
)
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| 变量 | 睡眠障碍组(n=185) | 非睡眠障碍组 (n=1 836) | t值 | P值 |
|---|
| 行为态度 | 12.47±4.90 | 11.69±4.55 | 2.199 | 0.028 |
| 主观规范 | 12.75±4.46 | 11.81±4.65 | 2.644 | 0.008 |
| 知觉行为控制 | 7.44±3.57 | 7.23±3.54 | 0.758 | 0.449 |
| 行为意向 | 8.24±4.17 | 7.26±3.58 | 3.106 | 0.002 |
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Correlation analysis of PSQI,behavioral attitude, subjective norm, perceived behavioral control and behavioral intention towards children’s consumption of sugar-sweetened beverages
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| 变量 | 相关性 |
|---|
| 均值 | 标准偏差 | 1 | 2 | 3 | 4 |
|---|
| 1.睡眠质量指数 | 3.45 | 2.74 | | | | |
| 2. 行为态度 | 11.76 | 4.59 | 0.125*** | | | |
| 3. 主观规范 | 11.89 | 4.64 | 0.129*** | 0.610*** | | |
| 4. 知觉行为控制 | 7.25 | 3.54 | 0.104*** | 0.574*** | 0.576*** | |
| 5. 行为意向 | 7.35 | 3.64 | 0.165*** | 0.588*** | 0.624*** | 0.552*** |
), ArticleFig(id=1324077790479397064, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077776436867194, language=CN, label=表3, caption=
儿童睡眠质量指数、含糖饮料消费行为态度、主观规范、知觉行为控制和行为意向的相关性分析
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| 变量 | 相关性 |
|---|
| 均值 | 标准偏差 | 1 | 2 | 3 | 4 |
|---|
| 1.睡眠质量指数 | 3.45 | 2.74 | | | | |
| 2. 行为态度 | 11.76 | 4.59 | 0.125*** | | | |
| 3. 主观规范 | 11.89 | 4.64 | 0.129*** | 0.610*** | | |
| 4. 知觉行为控制 | 7.25 | 3.54 | 0.104*** | 0.574*** | 0.576*** | |
| 5. 行为意向 | 7.35 | 3.64 | 0.165*** | 0.588*** | 0.624*** | 0.552*** |
), ArticleFig(id=1324077790567477449, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077776436867194, language=EN, label=Table 4, caption=
Mediation model testing and effect analysis
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| 回归方程 (n=2 021) | 拟合指标 | 系数显著性 |
|---|
| 因变量 | 自变量 | R | R2 | F | B | β | t | P值 |
| 行为意向 | 性别 | | | | -0.677 | -0.093 | -4.242 | <0.001 |
| 年级 | | | | 0.003 | 0.001 | 0.027 | 0.978 |
| 地区 | | | | 0.375 | 0.048 | 2.134 | 0.033 |
| 睡眠质量指数 | 0.195 | 0.038 | 19.890 | 0.198 | 0.149 | 6.638 | <0.001 |
| 行为态度 | 性别 | | | | -0.870 | -0.095 | -4.316 | <0.001 |
| 年级 | | | | -0.225 | -0.038 | -1.731 | 0.084 |
| 地区 | | | | -0.875 | -0.089 | -3.947 | <0.001 |
| 睡眠质量指数 | 0.185 | 0.034 | 17.939 | 0.230 | 0.137 | 6.109 | <0.001 |
| 主观规范 | 性别 | | | | -0.039 | -0.004 | -0.190 | 0.850 |
| 年级 | | | | -0.408 | -0.069 | -3.097 | 0.002 |
| 地区 | | | | -0.071 | -0.007 | -0.315 | 0.753 |
| 睡眠质量指数 | 0.147 | 0.022 | 11.135 | 0.219 | 0.130 | 5.727 | <0.001 |
| 知觉行为控制 | 性别 | | | | -0.292 | -0.041 | -1.862 | 0.063 |
| 年级 | | | | -0.270 | -0.060 | -2.677 | 0.008 |
| 地区 | | | | -0.274 | -0.036 | -1.592 | 0.112 |
| 睡眠质量指数 | 0.134 | 0.018 | 9.167 | 0.140 | 0.109 | 4.801 | <0.001 |
| 行为意向 | 性别 | | | | -0.429 | -0.059 | -3.701 | <0.001 |
| 年级 | | | | 0.216 | 0.047 | 2.906 | 0.004 |
| 地区 | | | | 0.629 | 0.081 | 4.932 | <0.001 |
| 睡眠质量指数 | 0.707 | 0.500 | 287.044 | 0.062 | 0.047 | 2.859 | 0.004 |
| 行为态度 | | | | 0.203 | 0.255 | 11.905 | <0.001 |
| 主观规范 | | | | 0.273 | 0.347 | 16.247 | <0.001 |
| 知觉行为控制 | | | | 0.209 | 0.203 | 9.889 | <0.001 |
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中介模型检验和效应分析
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| 回归方程 (n=2 021) | 拟合指标 | 系数显著性 |
|---|
| 因变量 | 自变量 | R | R2 | F | B | β | t | P值 |
| 行为意向 | 性别 | | | | -0.677 | -0.093 | -4.242 | <0.001 |
| 年级 | | | | 0.003 | 0.001 | 0.027 | 0.978 |
| 地区 | | | | 0.375 | 0.048 | 2.134 | 0.033 |
| 睡眠质量指数 | 0.195 | 0.038 | 19.890 | 0.198 | 0.149 | 6.638 | <0.001 |
| 行为态度 | 性别 | | | | -0.870 | -0.095 | -4.316 | <0.001 |
| 年级 | | | | -0.225 | -0.038 | -1.731 | 0.084 |
| 地区 | | | | -0.875 | -0.089 | -3.947 | <0.001 |
| 睡眠质量指数 | 0.185 | 0.034 | 17.939 | 0.230 | 0.137 | 6.109 | <0.001 |
| 主观规范 | 性别 | | | | -0.039 | -0.004 | -0.190 | 0.850 |
| 年级 | | | | -0.408 | -0.069 | -3.097 | 0.002 |
| 地区 | | | | -0.071 | -0.007 | -0.315 | 0.753 |
| 睡眠质量指数 | 0.147 | 0.022 | 11.135 | 0.219 | 0.130 | 5.727 | <0.001 |
| 知觉行为控制 | 性别 | | | | -0.292 | -0.041 | -1.862 | 0.063 |
| 年级 | | | | -0.270 | -0.060 | -2.677 | 0.008 |
| 地区 | | | | -0.274 | -0.036 | -1.592 | 0.112 |
| 睡眠质量指数 | 0.134 | 0.018 | 9.167 | 0.140 | 0.109 | 4.801 | <0.001 |
| 行为意向 | 性别 | | | | -0.429 | -0.059 | -3.701 | <0.001 |
| 年级 | | | | 0.216 | 0.047 | 2.906 | 0.004 |
| 地区 | | | | 0.629 | 0.081 | 4.932 | <0.001 |
| 睡眠质量指数 | 0.707 | 0.500 | 287.044 | 0.062 | 0.047 | 2.859 | 0.004 |
| 行为态度 | | | | 0.203 | 0.255 | 11.905 | <0.001 |
| 主观规范 | | | | 0.273 | 0.347 | 16.247 | <0.001 |
| 知觉行为控制 | | | | 0.209 | 0.203 | 9.889 | <0.001 |
), ArticleFig(id=1324077792345862347, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077776436867194, language=EN, label=Table 5, caption=
Analysis of the mediating effect
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| 效应 | 变量 | 点估计值 | 置信区间(下限) | 置信区间(上限) | 相对效应百分比(%) |
|---|
| 总效应 | | 0.198 | 0.140 | 0.256 | 100.00 |
| 直接效应 | | 0.062 | 0.020 | 0.105 | 31.31 |
| 间接效应 | 合计 | 0.136 | 0.094 | 0.178 | 68.69 |
| 行为态度 | 0.047 | 0.029 | 0.066 | 23.74 |
| 主观规范 | 0.060 | 0.039 | 0.083 | 30.30 |
| 知觉行为控制 | 0.029 | 0.016 | 0.044 | 14.65 |
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中介效应分析
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| 效应 | 变量 | 点估计值 | 置信区间(下限) | 置信区间(上限) | 相对效应百分比(%) |
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| 总效应 | | 0.198 | 0.140 | 0.256 | 100.00 |
| 直接效应 | | 0.062 | 0.020 | 0.105 | 31.31 |
| 间接效应 | 合计 | 0.136 | 0.094 | 0.178 | 68.69 |
| 行为态度 | 0.047 | 0.029 | 0.066 | 23.74 |
| 主观规范 | 0.060 | 0.039 | 0.083 | 30.30 |
| 知觉行为控制 | 0.029 | 0.016 | 0.044 | 14.65 |
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